• 1.川北醫(yī)學(xué)院附屬醫(yī)院ICU（四川南充637000）;;
  • 2.四川大學(xué)華西醫(yī)院藥房（成都610041）;

目的 探討利用膀胱壓、胃內(nèi)壓來間接監(jiān)測腹內(nèi)壓的可行性，以便于腹腔間隔室綜合征（ACS）的診斷。方法對24例行腹腔鏡膽囊摘除術(shù)（LC）患者進(jìn)行前瞻性對照研究。在行LC時，在腹內(nèi)壓為10、 15、 20及25 mm Hg時同時測定膀胱壓和胃內(nèi)壓。結(jié)果腹內(nèi)壓與膀胱壓的回歸方程為Y=-10.193+1.228X，相關(guān)系數(shù)為0.941； 腹內(nèi)壓與胃內(nèi)壓的回歸方程為Y=-7.408+1.478X，相關(guān)系數(shù)為0.996。由此表明，腹內(nèi)壓與膀胱壓和胃內(nèi)壓呈顯著正相關(guān)。結(jié)論腹內(nèi)壓與胃內(nèi)壓和膀胱壓有很好的相關(guān)性，可以利用胃內(nèi)壓和膀胱壓來反映實際腹內(nèi)壓。

引用本文： 萬勇,葛穎,王大慶,胡建華,蘇小林,馬音. 膀胱壓、胃內(nèi)壓與腹內(nèi)壓的相關(guān)性研究. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(4): 383-384. doi: 復(fù)制

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  1. 1. Bailey J,Shapiro MJ.Abdominal compartment syndrome [Ｊ].Crit Care, 2000; 4(1)∶23.
  2. 2. Morken J,West MA.Abdominal compartment syndrome in the intensive care unit [Ｊ].Curr Opin Crit Care, 2001; 7(4)∶268.
  3. 3. Grubben AC, vanBaardwijk AA, Broering DC. Pathophysiology and clinical significance of the abdominal compartment syndrome [Ｊ]. Zentralbl Chir, 2001; 126(8)∶605.
  4. 4. Ertel W,Trentz O.The abdominal compartment syndrome [Ｊ].Unfallchirurg, 2001; 104(7)∶560.
  5. 5. Johna S, Taylor E, Brown C, et al. Abdominal compartment syndrome: does intracystic pressure reflect actual intraabdominal pressure? A prospective study in surgical patients [Ｊ]. Crit Care， 1999; 3(6)∶135.
  6. 6. Beager P, Nijsten MW, Paling JC, et al. The abdominal compartment syndrome: a complication with many faces [Ｊ]. Neth J Med, 2001; 58(5)∶197.